Product Description

02/12 Version. (3,500 Sheets) The Centers for Medicare and Medicaid Services (CMS) healthcare forms are required for all federal insurance claims and many private healthcare organizations. Payers will begin to accept these forms starting January 6th, 2014. And will only accept this version as of Oct 1st, 2015

Dental Exam Records - Record every detail of adult and primary dentition. Front features 1-32 numbering and a-t lettering, and an area to summarize patient history. Back has space to list services needed or rendered and fees. Pricing is for one packa...

Carbonless bond paper for jam-free performance and are printed in OCR-scannable red ink. All forms are government approved CMS-1450 (UB04) to serve federal programs and private insurers as a universal claim form.1 Part Laser (1000 Single Sheets - for...

1 Part NEW CMS 1500 Forms (02/12) for Pinfeed Printers. White Pinfeed OCR scanable paper. Black and red ink. 100% compatible with UCCI requirements. This is the NEW CMS 1500 form mandated by the U.S. Centers for Medicare and Medicaid Services (CMS)1 ...